1598006389 NPI number — HUMAN TECHNOLOGY, INC.

Table of content: SHAILYNN MARIE WALKER (NPI 1265124895)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598006389 NPI number — HUMAN TECHNOLOGY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUMAN TECHNOLOGY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598006389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
266 S CLEVELAND ST STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38104-3520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-590-0354
Provider Business Mailing Address Fax Number:
901-590-4319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1880 GOODMAN ROAD E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTHAVEN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38672-6433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-349-4909
Provider Business Practice Location Address Fax Number:
662-349-7989
Provider Enumeration Date:
03/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
DUBEY
Authorized Official First Name:
RAMESH
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
901-590-0354

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  PROSTHETICS--99 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1529639 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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